Cholecystitis

Etiology

  • GNRs, enterococcus
  • Obstructing gall stone
  • Acalculous cholecystitis from stasis, often assoc with severe illness in hospitalized patients

Symptoms

  • Fever
  • Nausea
  • Hx gall stones
  • Constant right/upper abd pain
  • Can radiate to back

Physical Exam Findings

  • Pain in RUQ
  • Palpating hand positioned below liver→ patient inspires→ pain increases when inflamed gall bladder contacts hand (Murphy's Sign)